Nonleisure-Time Physical Activity Guidance Following Minor Ischemic Stroke: A Randomized Clinical Trial

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Ryota Ashizawa Seirei Mikatahara General Hospital
Seirei Christopher University Graduate School

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Kazuma Yamashita JA Shizuoka Kohseiren Enshu Hospital

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Koki Take Seirei Christopher University Graduate School

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Kengo Okawara Seirei Christopher University Graduate School

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Eri Mochizuki Hamamatsu City Rehabilitation Hospital

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Asuka Sakamoto Nishikyushu University

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Yoshinobu Yoshimoto Seirei Christopher University

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DOI:
https://doi.org/10.1123/apaq.2020-0029
Keywords:
intervention study; patient education; physical therapy; sedentary behavior
First Published Online:
25 Feb 2021
In Print:
Volume 38: Issue 2
Page Range:
329–347
Restricted access

The purpose of this single-masked randomized clinical trial was to examine whether nonleisure-time physical activity guidance (NLTPAG) improves physical activity levels in patients after minor ischemic stroke. Patients who had been hospitalized for minor ischemic stroke in an acute care hospital (National Health Institute Stroke Scale ≤ 5) were randomized to either an NLTPAG group (n = 17) or a leisure-time physical activity guidance group (n = 16). NLTPAG focused on reducing sedentary behavior and increasing the frequency of walking for shopping and household activities to improve physical activity levels in daily life. Physical activity levels significantly improved only in participants in the NLTPAG group (initial assessment: metabolic equivalents of task = 12.6; final assessment: metabolic equivalents of task = 14.8; p = .035, r = .51). These results suggest that NLTPAG may be effective for improving physical activity levels in patients after minor ischemic stroke.

Ashizawa is with the Dept. of Rehabilitation, Seirei Mikatahara General Hospital, Hamamatsu, Japan. Ashizawa, Take, and Okawara are with the Div. of Rehabilitation Science, Seirei Christopher University Graduate School, Hamamatsu, Japan. Yamashita is with the Dept. of Rehabilitation, JA Shizuoka Kohseiren Enshu Hospital, Hamamatsu, Japan. Mochizuki is with the Dept. of Rehabilitation, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Japan. Sakamoto is with the Div. of Rehabilitation, Nishikyushu University, Kanzaki, Japan. Yoshimoto is with the Div. of Rehabilitation, Seirei Christopher University, Hamamatsu, Japan.

Ashizawa (19dr01@g.seirei.ac.jp) is corresponding author.
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